Healthcare Provider Details

I. General information

NPI: 1245468065
Provider Name (Legal Business Name): THE RIGHT WAY AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2009
Last Update Date: 10/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 FAYETTEVILLE RD
LUMBERTON NC
28358-2697
US

IV. Provider business mailing address

5717 MCDOUGAL DR
FAYETTEVILLE NC
28304-2992
US

V. Phone/Fax

Practice location:
  • Phone: 910-739-9755
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TAMMIE HOLLINGSWORTH
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 919-949-1433